Metrohealth System — Pricing

777 procedures published in this hospital's Machine-Readable File (MRF) — 494 with a comparable price, 283 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 777
Lowest published price $1,025
Average published price $14,449
Highest published price $107,267

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 777 procedures

Published charges

Showing all 494 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 37 procedures, this hospital's negotiated rates average ≈192% of what Medicare pays.

DRG Description Published price vs. OH median vs. National median vs Medicare
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $107,267 $102,814 +4% $143,242 −25% —
901 Wound Debridements For Injuries With Mcc $67,768 $60,697 +12% $70,177 −3% —
453 Combined Anterior And Posterior Spinal Fusion With Mcc $65,210 $103,861 −37% $103,861 −37% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $62,612 $86,542 −28% $123,995 −50% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $58,630 $68,045 −14% $93,238 −37% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $57,910 $96,607 −40% $144,569 −60% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $54,686 $112,119 −51% $153,282 −64% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $52,942 $94,288 −44% $131,961 −60% —
965 Other Multiple Significant Trauma Without Cc/Mcc $47,852 $15,039 +218% $20,259 +136% —
969 Hiv With Extensive O.R. Procedures With Mcc $47,535 $84,844 −44% $109,331 −57% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $47,430 $65,149 −27% $90,724 −48% —
229 Other Cardiothoracic Procedures Without Mcc $47,087 $43,510 +8% $65,325 −28% —
405 Pancreas, Liver And Shunt Procedures With Mcc $46,541 $73,455 −37% $102,128 −54% —
028 Spinal Procedures With Mcc $45,845 $81,731 −44% $113,077 −59% —
016 Autologous Bone Marrow Transplant With Cc/Mcc $45,770 $81,176 −44% $98,260 −53% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $41,724 $71,776 −42% $111,320 −63% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $41,524 $89,209 −53% $125,242 −67% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $41,094 $86,374 −52% $116,058 −65% —
653 Major Bladder Procedures With Mcc $40,443 $64,273 −37% $104,583 −61% —
055 Nervous System Neoplasms Without Mcc $40,318 $17,354 +132% $20,926 +93% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $40,296 $106,929 −62% $148,686 −73% —
306 Cardiac Congenital And Valvular Disorders With Mcc $39,051 $22,628 +73% $24,586 +59% —
397 Appendix Procedures With Mcc $38,747 $35,353 +10% $53,257 −27% —
333 Rectal Resection With Cc $38,481 $30,778 +25% $37,154 +4% —
270 Other Major Cardiovascular Procedures With Mcc $37,823 $69,695 −46% $99,423 −62% —
326 Stomach, Esophageal And Duodenal Procedures With Mcc $37,214 $69,008 −46% $80,793 −54% —
799 Splenic Procedures With Mcc $36,879 $64,885 −43% $82,218 −55% —
277 Cardiac Defibrillator Implant Without Mcc $36,649 $63,571 −42% $91,329 −60% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $35,749 $77,406 −54% $107,355 −67% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla $35,540 $76,970 −54% $106,778 −67% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $34,764 $63,928 −46% $87,761 −60% —
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $34,761 $89,353 −61% $89,353 −61% —
800 Splenic Procedures With Cc $34,633 $41,012 −16% $49,184 −30% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $33,573 $74,709 −55% $106,057 −68% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $33,450 $52,536 −36% $74,755 −55% —
459 Spinal Fusion Except Cervical With Mcc $33,442 $75,251 −56% $75,251 −56% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $33,425 $28,559 +17% $29,524 +13% —
140 Major Head And Neck Procedures With Mcc $33,188 $47,288 −30% $60,098 −45% —
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $32,413 $59,352 −45% $59,352 −45% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $31,944 $55,985 −43% $79,225 −60% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $31,328 $57,196 −45% $85,159 −63% —
034 Carotid Artery Stent Procedures With Mcc $30,661 $50,089 −39% $76,219 −60% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $29,828 $50,398 −41% $61,470 −51% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $29,756 $52,152 −43% $74,257 −60% —
955 Craniotomy For Multiple Significant Trauma $29,624 $91,253 −68% $102,600 −71% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $29,407 $35,964 −18% $49,423 −40% —
904 Skin Grafts For Injuries With Cc/Mcc $29,329 $53,307 −45% $59,594 −51% —
276 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator $29,067 $83,192 −65% $117,280 −75% —
166 Other Respiratory System O.R. Procedures With Mcc $28,990 $53,167 −45% $75,573 −62% —
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $28,601 $49,711 −42% $71,092 −60% —
886 Behavioral And Developmental Disorders $28,393 $26,510 +7% $26,510 +7% —
420 Hepatobiliary Diagnostic Procedures With Mcc $28,202 $39,827 −29% $50,919 −45% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $27,945 $61,401 −54% $84,692 −67% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $27,366 $23,998 +14% $35,584 −23% —
656 Kidney And Ureter Procedures For Neoplasm With Mcc $27,224 $45,479 −40% $65,608 −59% —
288 Acute And Subacute Endocarditis With Mcc $27,002 $33,207 −19% $50,618 −47% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $26,995 $48,670 −45% $69,743 −61% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $26,726 $29,518 −9% $31,134 −14% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $26,633 $47,828 −44% $68,653 −61% —
466 Revision Of Hip Or Knee Replacement With Mcc $26,475 $69,206 −62% $96,507 −73% —
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $26,269 $78,460 −67% $96,192 −73% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $26,162 $80,603 −68% $113,855 −77% —
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $25,686 $56,565 −55% $82,247 −69% —
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $25,505 $47,403 −46% $70,371 −64% —
686 Kidney And Urinary Tract Neoplasms With Mcc $24,848 $27,668 −10% $37,844 −34% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $24,772 $29,767 −17% $35,030 −29% —
662 Minor Bladder Procedures With Mcc $24,467 $43,683 −44% $54,562 −55% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $24,400 $45,498 −46% $58,745 −58% —
668 Transurethral Procedures With Mcc $24,055 $41,045 −41% $51,608 −53% —
835 Acute Leukemia With Cc $23,668 $30,915 −23% $35,569 −33% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $23,422 $40,662 −42% $63,928 −63% —
654 Major Bladder Procedures With Cc $23,399 $39,822 −41% $58,274 −60% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $22,798 $19,267 +18% $28,320 −19% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $22,770 $16,295 +40% $16,351 +39% —
141 Major Head And Neck Procedures With Cc $22,532 $28,988 −22% $37,267 −40% —
037 Extracranial Procedures With Mcc $22,394 $35,207 −36% $66,666 −66% —
905 Skin Grafts For Injuries Without Cc/Mcc $22,376 $24,586 −9% $25,197 −11% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $22,345 $36,798 −39% $59,533 −62% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $22,246 $37,588 −41% $48,687 −54% —
503 Foot Procedures With Mcc $22,236 $37,295 −40% $47,540 −53% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $22,225 $46,760 −52% $67,268 −67% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $21,970 $37,153 −41% $46,453 −53% —
296 Cardiac Arrest, Unexplained With Mcc $21,924 $22,841 −4% $33,661 −35% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $21,729 $40,341 −46% $61,217 −65% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $21,606 $68,473 −68% $93,390 −77% —
252 Other Vascular Procedures With Mcc $21,382 $39,129 −45% $68,508 −69% —
467 Revision Of Hip Or Knee Replacement With Cc $21,355 $46,494 −54% $70,847 −70% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $21,322 $52,805 −60% $75,103 −72% —
614 Adrenal And Pituitary Procedures With Cc/Mcc $21,265 $32,773 −35% $48,349 −56% —
242 Permanent Cardiac Pacemaker Implant With Mcc $21,148 $47,218 −55% $70,132 −70% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $21,027 $32,503 −35% $49,418 −57% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc $21,024 $54,320 −61% $56,836 −63% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $20,946 $35,224 −41% $54,583 −62% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $20,694 $33,343 −38% $38,878 −47% —
274 Percutaneous And Other Intracardiac Procedures Without Mcc $20,562 $43,701 −53% $65,573 −69% ≈268% of Medicare
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $20,516 $44,609 −54% $89,207 −77% —
033 Ventricular Shunt Procedures Without Cc/Mcc $20,456 $23,902 −14% $35,419 −42% —
036 Carotid Artery Stent Procedures Without Cc/Mcc $20,380 $20,380 +0% $40,694 −50% —
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $20,324 $19,930 +2% $27,989 −27% —
347 Anal And Stomal Procedures With Mcc $20,234 $33,912 −40% $40,548 −50% —
946 Rehabilitation Without Cc/Mcc $20,200 $17,685 +14% $17,685 +14% —
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $20,003 $37,242 −46% $54,929 −64% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $19,921 $38,933 −49% $52,036 −62% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $19,836 $36,267 −45% $58,707 −66% —
272 Other Major Cardiovascular Procedures Without Cc/Mcc $19,617 $35,670 −45% $55,162 −64% —
035 Carotid Artery Stent Procedures With Cc $19,604 $32,719 −40% $49,066 −60% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $19,583 $32,829 −40% $42,415 −54% —
357 Other Digestive System O.R. Procedures With Cc $19,469 $25,347 −23% $48,682 −60% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $19,422 $48,655 −60% $66,068 −71% —
113 Orbital Procedures With Cc/Mcc $19,412 $32,032 −39% $36,167 −46% —
709 Penis Procedures With Cc/Mcc $19,332 $32,359 −40% $34,535 −44% —
460 Spinal Fusion Except Cervical Without Mcc $19,206 $42,725 −55% $51,625 −63% —
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $19,136 $43,021 −56% $60,407 −68% —
708 Major Male Pelvic Procedures Without Cc/Mcc $19,095 $22,435 −15% $36,988 −48% —
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $18,936 $32,969 −43% $40,108 −53% —
615 Adrenal And Pituitary Procedures Without Cc/Mcc $18,805 $21,793 −14% $32,833 −43% —
056 Degenerative Nervous System Disorders With Mcc $18,739 $22,123 −15% $39,973 −53% ≈198% of Medicare
504 Foot Procedures With Cc $18,679 $25,876 −28% $38,960 −52% —
950 Aftercare Without Cc/Mcc $18,665 $10,801 +73% $13,527 +38% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $18,617 $64,874 −71% $90,775 −79% —
595 Major Skin Disorders With Mcc $18,511 $29,614 −37% $34,598 −46% —
814 Reticuloendothelial And Immunity Disorders With Mcc $18,348 $25,294 −27% $33,851 −46% —
273 Percutaneous And Other Intracardiac Procedures With Mcc $18,289 $53,945 −66% $78,852 −77% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $18,200 $53,277 −66% $80,018 −77% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $18,135 $41,024 −56% $70,467 −74% —
707 Major Male Pelvic Procedures With Cc/Mcc $17,935 $28,381 −37% $43,080 −58% —
502 Soft Tissue Procedures Without Cc/Mcc $17,769 $21,328 −17% $31,017 −43% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $17,635 $40,991 −57% $59,790 −71% —
080 Nontraumatic Stupor And Coma With Mcc $17,611 $27,322 −36% $36,249 −51% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $17,534 $28,958 −39% $32,574 −46% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $17,487 $28,868 −39% $43,913 −60% —
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $17,376 $36,735 −53% $52,178 −67% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $16,865 $38,281 −56% $62,264 −73% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $16,785 $28,703 −42% $43,631 −62% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $16,745 $28,555 −41% $38,861 −57% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl $16,733 $45,618 −63% $65,788 −75% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $16,712 $24,341 −31% $36,670 −54% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $16,601 $72,075 −77% $102,573 −84% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $16,522 $33,823 −51% $50,498 −67% —
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $16,501 $31,025 −47% $38,070 −57% —
914 Traumatic Injury Without Mcc $16,448 $12,958 +27% $15,855 +4% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $16,444 $30,404 −46% $46,066 −64% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $16,431 $26,921 −39% $43,298 −62% —
167 Other Respiratory System O.R. Procedures With Cc $16,423 $26,909 −39% $40,642 −60% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $16,146 $54,405 −70% $71,795 −78% —
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $16,099 $30,914 −48% $46,727 −66% —
505 Foot Procedures Without Cc/Mcc $16,013 $25,972 −38% $34,937 −54% —
384 Uncomplicated Peptic Ulcer Without Mcc $15,973 $14,480 +10% $19,305 −17% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $15,886 $56,535 −72% $73,120 −78% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $15,856 $28,648 −45% $43,538 −64% —
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $15,831 $24,928 −36% $29,916 −47% —
501 Soft Tissue Procedures With Cc $15,622 $26,358 −41% $39,619 −61% —
791 Prematurity With Major Problems $15,616 $34,928 −55% $42,679 −63% —
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $15,591 $36,097 −57% $39,173 −60% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $15,590 $34,307 −55% $47,583 −67% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $15,511 $48,637 −68% $62,583 −75% —
358 Other Digestive System O.R. Procedures Without Cc/Mcc $15,459 $20,782 −26% $30,083 −49% —
621 O.R. Procedures For Obesity Without Cc/Mcc $15,409 $22,167 −30% $32,451 −53% —
597 Malignant Breast Disorders With Mcc $15,404 $25,994 −41% $33,386 −54% —
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $15,270 $27,152 −44% $30,243 −50% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $15,145 $34,708 −56% $59,421 −75% —
091 Other Disorders Of Nervous System With Mcc $15,077 $26,853 −44% $37,387 −60% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $15,041 $21,645 −31% $50,139 −70% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $15,028 $15,028 +0% $27,633 −46% —
913 Traumatic Injury With Mcc $14,978 $24,198 −38% $24,198 −38% —
330 Major Small And Large Bowel Procedures With Cc $14,750 $33,872 −56% $59,500 −75% ≈195% of Medicare
142 Major Head And Neck Procedures Without Cc/Mcc $14,687 $23,602 −38% $34,906 −58% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $14,441 $32,279 −55% $59,629 −76% —
115 Extraocular Procedures Except Orbit $14,415 $23,065 −38% $25,703 −44% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $14,375 $19,350 −26% $22,851 −37% —
945 Rehabilitation With Cc/Mcc $14,332 $23,834 −40% $23,834 −40% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $14,289 $32,919 −57% $39,181 −64% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $14,280 $34,905 −59% $52,405 −73% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $14,278 $18,496 −23% $36,253 −61% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $14,250 $22,783 −37% $33,454 −57% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $14,212 $26,794 −47% $40,365 −65% —
345 Minor Small And Large Bowel Procedures With Cc $14,161 $22,516 −37% $33,048 −57% —
070 Other Cerebrovascular Disorders With Mcc $14,157 $17,053 −17% $31,951 −56% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $14,111 $25,440 −45% $33,393 −58% —
865 Viral Illness With Mcc $14,014 $22,350 −37% $26,910 −48% —
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $13,938 $23,677 −41% $53,451 −74% —
349 Anal And Stomal Procedures Without Cc/Mcc $13,909 $14,627 −5% $19,854 −30% —
336 Peritoneal Adhesiolysis With Cc $13,877 $30,243 −54% $50,463 −73% —
243 Permanent Cardiac Pacemaker Implant With Cc $13,857 $23,776 −42% $50,011 −72% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $13,804 $16,604 −17% $26,932 −49% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $13,741 $21,795 −37% $35,465 −61% —
283 Acute Myocardial Infarction, Expired With Mcc $13,731 $22,361 −39% $39,955 −66% —
783 Cesarean Section With Sterilization With Mcc $13,679 $22,780 −40% $29,221 −53% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $13,669 $21,670 −37% $34,607 −61% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $13,646 $17,397 −22% $34,276 −60% —
975 Hiv With Major Related Condition With Cc $13,633 $21,642 −37% $27,808 −51% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $13,613 $25,121 −46% $31,563 −57% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $13,597 $31,353 −57% $45,333 −70% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $13,508 $32,890 −59% $43,943 −69% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $13,499 $21,277 −37% $27,119 −50% —
411 Cholecystectomy With C.D.E. With Mcc $13,372 $38,709 −65% $48,358 −72% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $13,313 $19,183 −31% $19,270 −31% —
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $13,238 $44,977 −71% $72,424 −82% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $13,236 $32,385 −59% $47,737 −72% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $13,236 $30,721 −57% $49,351 −73% —
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $13,226 $20,766 −36% $29,949 −56% —
620 O.R. Procedures For Obesity With Cc $13,176 $23,921 −45% $35,453 −63% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $13,160 $30,555 −57% $58,280 −77% ≈160% of Medicare
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $13,082 $20,619 −37% $29,805 −56% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $12,949 $21,215 −39% $46,295 −72% —
337 Peritoneal Adhesiolysis Without Cc/Mcc $12,798 $23,118 −45% $39,211 −67% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $12,768 $20,980 −39% $20,980 −39% —
057 Degenerative Nervous System Disorders Without Mcc $12,609 $12,946 −3% $27,543 −54% ≈158% of Medicare
245 Aicd Generator Procedures $12,586 $66,564 −81% $72,076 −83% —
674 Other Kidney And Urinary Tract Procedures With Cc $12,574 $33,155 −62% $50,394 −75% —
150 Epistaxis With Mcc $12,566 $21,133 −41% $23,171 −46% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $12,500 $16,213 −23% $17,737 −30% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $12,454 $15,986 −22% $20,895 −40% —
073 Cranial And Peripheral Nerve Disorders With Mcc $12,450 $23,254 −46% $30,010 −59% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $12,304 $18,646 −34% $38,094 −68% —
947 Signs And Symptoms With Mcc $12,290 $12,290 +0% $27,401 −55% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $12,132 $19,637 −38% $28,125 −57% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $12,122 $21,611 −44% $31,044 −61% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $12,068 $19,075 −37% $27,163 −56% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $12,047 $15,377 −22% $21,847 −45% —
380 Complicated Peptic Ulcer With Mcc $12,016 $28,169 −57% $39,627 −70% —
963 Other Multiple Significant Trauma With Mcc $11,973 $38,454 −69% $43,491 −72% —
480 Hip And Femur Procedures Except Major Joint With Mcc $11,944 $41,365 −71% $65,653 −82% ≈185% of Medicare
570 Skin Debridement With Mcc $11,901 $40,626 −71% $52,435 −77% —
902 Wound Debridements For Injuries With Cc $11,875 $26,863 −56% $40,562 −71% —
376 Digestive Malignancy Without Cc/Mcc $11,865 $14,654 −19% $16,998 −30% —
102 Headaches With Mcc $11,859 $11,859 +0% $25,740 −54% —
593 Skin Ulcers With Cc $11,830 $19,063 −38% $22,886 −48% —
506 Major Thumb Or Joint Procedures $11,808 $22,651 −48% $30,557 −61% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $11,739 $24,061 −51% $35,692 −67% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $11,696 $15,985 −27% $25,279 −54% —
038 Extracranial Procedures With Cc $11,662 $24,107 −52% $35,770 −67% —
165 Major Chest Procedures Without Cc/Mcc $11,613 $27,387 −58% $46,340 −75% —
399 Appendix Procedures Without Cc/Mcc $11,604 $17,780 −35% $31,321 −63% —
199 Pneumothorax With Mcc $11,523 $26,106 −56% $33,787 −66% —
906 Hand Procedures For Injuries $11,430 $31,520 −64% $32,065 −64% —
164 Major Chest Procedures With Cc $11,403 $35,862 −68% $56,755 −80% —
200 Pneumothorax With Cc $11,398 $14,483 −21% $21,368 −47% —
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $11,375 $23,143 −51% $37,950 −70% —
887 Other Mental Disorder Diagnoses $11,348 $14,190 −20% $20,616 −45% —
729 Other Male Reproductive System Diagnoses With Cc/Mcc $11,327 $14,761 −23% $17,483 −35% —
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $11,303 $18,202 −38% $27,297 −59% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $11,266 $11,266 +0% $25,034 −55% —
884 Organic Disturbances And Intellectual Disability $11,243 $22,671 −50% $26,682 −58% —
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $11,236 $25,046 −55% $41,591 −73% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $11,153 $24,884 −55% $32,944 −66% —
181 Respiratory Neoplasms With Cc $11,126 $17,555 −37% $23,573 −53% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $11,124 $26,308 −58% $52,075 −79% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $11,114 $17,596 −37% $36,792 −70% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $11,055 $13,822 −20% $14,501 −24% —
841 Lymphoma And Non-Acute Leukemia With Cc $11,031 $17,198 −36% $33,633 −67% —
382 Complicated Peptic Ulcer Without Cc/Mcc $10,978 $11,948 −8% $16,634 −34% —
254 Other Vascular Procedures Without Cc/Mcc $10,924 $21,935 −50% $38,836 −72% —
571 Skin Debridement With Cc $10,913 $24,925 −56% $37,169 −71% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $10,907 $25,881 −58% $33,555 −67% —
909 Other O.R. Procedures For Injuries Without Cc/Mcc $10,904 $19,655 −45% $28,156 −61% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $10,859 $11,583 −6% $22,763 −52% —
388 Gastrointestinal Obstruction With Mcc $10,767 $22,272 −52% $30,571 −65% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $10,747 $31,193 −66% $45,877 −77% —
197 Interstitial Lung Disease With Cc $10,683 $16,043 −33% $21,941 −51% —
551 Medical Back Problems With Mcc $10,641 $25,341 −58% $34,017 −69% ≈141% of Medicare
354 Hernia Procedures Except Inguinal And Femoral With Cc $10,626 $25,272 −58% $43,477 −76% —
092 Other Disorders Of Nervous System With Cc $10,624 $16,935 −37% $24,914 −57% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $10,587 $20,295 −48% $36,937 −71% —
813 Coagulation Disorders $10,586 $23,285 −55% $33,296 −68% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $10,528 $14,776 −29% $22,148 −52% —
228 Other Cardiothoracic Procedures With Mcc $10,509 $67,791 −84% $96,905 −89% —
862 Postoperative And Post-Traumatic Infections With Mcc $10,445 $27,058 −61% $32,859 −68% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $10,419 $49,285 −79% $70,564 −85% —
670 Transurethral Procedures Without Cc/Mcc $10,359 $15,598 −34% $20,911 −50% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $10,351 $24,718 −58% $44,606 −77% —
393 Other Digestive System Diagnoses With Mcc $10,347 $22,379 −54% $34,192 −70% ≈241% of Medicare
413 Cholecystectomy With C.D.E. Without Cc/Mcc $10,344 $24,771 −58% $29,316 −65% —
331 Major Small And Large Bowel Procedures Without Cc/Mcc $10,316 $24,622 −58% $44,117 −77% —
179 Respiratory Infections And Inflammations Without Cc/Mcc $10,295 $13,184 −22% $14,648 −30% —
606 Minor Skin Disorders With Mcc $10,274 $20,159 −49% $27,975 −63% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $10,180 $12,534 −19% $12,559 −19% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $10,071 $23,876 −58% $39,006 −74% —
864 Fever And Inflammatory Conditions $9,987 $14,849 −33% $18,640 −46% —
540 Osteomyelitis With Cc $9,949 $19,990 −50% $26,676 −63% —
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $9,931 $17,832 −44% $24,566 −60% —
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $9,914 $23,784 −58% $41,955 −76% —
471 Cervical Spinal Fusion With Mcc $9,861 $66,189 −85% $92,515 −89% —
385 Inflammatory Bowel Disease With Mcc $9,833 $17,302 −43% $27,617 −64% —
186 Pleural Effusion With Mcc $9,830 $23,701 −59% $33,834 −71% —
081 Nontraumatic Stupor And Coma Without Mcc $9,796 $14,937 −34% $16,552 −41% —
264 Other Circulatory System O.R. Procedures $9,782 $34,470 −72% $51,953 −81% —
078 Hypertensive Encephalopathy With Cc $9,746 $10,035 −3% $17,698 −45% —
557 Tendonitis, Myositis And Bursitis With Mcc $9,689 $16,262 −40% $32,877 −71% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $9,662 $14,668 −34% $16,520 −42% —
908 Other O.R. Procedures For Injuries With Cc $9,587 $29,374 −67% $42,914 −78% —
398 Appendix Procedures With Cc $9,429 $22,834 −59% $40,162 −77% —
999 Ungroupable $9,413 $11,742 −20% $29,674 −68% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $9,407 $20,497 −54% $32,841 −71% —
123 Neurological Eye Disorders $9,399 $13,618 −31% $19,745 −52% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $9,349 $25,994 −64% $30,553 −69% —
351 Inguinal And Femoral Hernia Procedures With Cc $9,239 $22,721 −59% $36,505 −75% —
122 Acute Major Eye Infections Without Cc/Mcc $9,228 $11,997 −23% $11,997 −23% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $9,221 $21,228 −57% $25,094 −63% —
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $9,221 $16,434 −44% $22,557 −59% —
754 Malignancy, Female Reproductive System With Mcc $9,218 $23,853 −61% $32,433 −72% —
602 Cellulitis With Mcc $9,185 $22,262 −59% $30,598 −70% ≈160% of Medicare
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $9,180 $50,550 −82% $68,639 −87% —
811 Red Blood Cell Disorders With Mcc $9,176 $18,473 −50% $28,226 −67% ≈173% of Medicare
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $9,089 $15,311 −41% $16,968 −46% —
547 Connective Tissue Disorders Without Cc/Mcc $9,077 $12,879 −30% $16,565 −45% —
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $8,972 $14,158 −37% $21,894 −59% —
726 Benign Prostatic Hypertrophy Without Mcc $8,949 $12,855 −30% $15,019 −40% —
187 Pleural Effusion With Cc $8,929 $16,225 −45% $21,789 −59% —
158 Dental And Oral Diseases With Cc $8,837 $15,402 −43% $18,466 −52% —
313 Chest Pain $8,739 $12,453 −30% $16,440 −47% —
785 Cesarean Section With Sterilization Without Cc/Mcc $8,676 $13,884 −38% $19,846 −56% —
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $8,671 $29,012 −70% $39,106 −78% ≈164% of Medicare
125 Other Disorders Of The Eye Without Mcc $8,620 $13,911 −38% $17,298 −50% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $8,604 $13,602 −37% $18,452 −53% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $8,573 $13,806 −38% $18,150 −53% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $8,570 $21,022 −59% $30,493 −72% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $8,560 $19,686 −57% $23,498 −64% ≈323% of Medicare
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $8,509 $15,591 −45% $19,594 −57% —
383 Uncomplicated Peptic Ulcer With Mcc $8,501 $18,091 −53% $27,426 −69% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $8,493 $31,349 −73% $42,901 −80% —
082 Traumatic Stupor And Coma >1 Hour With Mcc $8,442 $33,308 −75% $36,489 −77% ≈129% of Medicare
198 Interstitial Lung Disease Without Cc/Mcc $8,420 $12,284 −31% $15,549 −46% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $8,404 $27,955 −70% $42,881 −80% —
572 Skin Debridement Without Cc/Mcc $8,392 $18,021 −53% $24,944 −66% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $8,376 $22,047 −62% $34,459 −76% —
866 Viral Illness Without Mcc $8,372 $13,782 −39% $17,081 −51% —
964 Other Multiple Significant Trauma With Cc $8,363 $22,202 −62% $27,394 −69% —
386 Inflammatory Bowel Disease With Cc $8,361 $12,567 −33% $22,033 −62% —
289 Acute And Subacute Endocarditis With Cc $8,349 $23,658 −65% $32,697 −74% —
535 Fractures Of Hip And Pelvis With Mcc $8,324 $16,237 −49% $24,552 −66% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $8,298 $26,206 −68% $38,101 −78% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $8,293 $15,603 −47% $19,924 −58% —
369 Major Esophageal Disorders With Cc $8,282 $9,256 −11% $25,303 −67% —
917 Poisoning And Toxic Effects Of Drugs With Mcc $8,279 $24,475 −66% $30,235 −73% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $8,246 $20,586 −60% $31,264 −74% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $8,227 $14,665 −44% $25,970 −68% —
379 Gastrointestinal Hemorrhage Without Cc/Mcc $8,218 $8,218 +0% $15,038 −45% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $8,214 $22,477 −63% $28,140 −71% —
086 Traumatic Stupor And Coma <1 Hour With Cc $8,208 $12,397 −34% $27,043 −70% ≈136% of Medicare
085 Traumatic Stupor And Coma <1 Hour With Mcc $8,177 $32,604 −75% $41,892 −80% ≈154% of Medicare
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $8,109 $13,791 −41% $18,126 −55% —
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $8,093 $11,225 −28% $13,824 −41% —
684 Renal Failure Without Cc/Mcc $8,045 $11,077 −27% $13,642 −41% —
314 Other Circulatory System Diagnoses With Mcc $7,987 $31,144 −74% $38,666 −79% ≈194% of Medicare
348 Anal And Stomal Procedures With Cc $7,864 $19,533 −60% $27,947 −72% —
381 Complicated Peptic Ulcer With Cc $7,848 $17,329 −55% $24,177 −68% —
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $7,829 $18,845 −58% $26,770 −71% ≈207% of Medicare
304 Hypertension With Mcc $7,756 $18,442 −58% $26,080 −70% —
375 Digestive Malignancy With Cc $7,685 $13,647 −44% $27,277 −72% —
534 Fractures Of Femur Without Mcc $7,680 $10,860 −29% $17,559 −56% —
202 Bronchitis And Asthma With Cc/Mcc $7,676 $10,530 −27% $17,724 −57% —
069 Transient Ischemia Without Thrombolytic $7,673 $13,579 −43% $21,056 −64% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $7,664 $11,921 −36% $14,549 −47% —
592 Skin Ulcers With Mcc $7,607 $29,882 −75% $33,246 −77% —
303 Atherosclerosis Without Mcc $7,562 $11,921 −37% $14,927 −49% —
481 Hip And Femur Procedures Except Major Joint With Cc $7,491 $30,124 −75% $52,751 −86% ≈156% of Medicare
445 Disorders Of The Biliary Tract With Cc $7,461 $16,211 −54% $23,319 −68% —
607 Minor Skin Disorders Without Mcc $7,448 $13,541 −45% $15,889 −53% —
552 Medical Back Problems Without Mcc $7,443 $15,347 −52% $21,396 −65% ≈165% of Medicare
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $7,415 $18,572 −60% $25,712 −71% —
183 Major Chest Trauma With Mcc $7,395 $14,367 −49% $29,933 −75% —
689 Kidney And Urinary Tract Infections With Mcc $7,328 $18,383 −60% $23,617 −69% ≈192% of Medicare
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $7,286 $23,838 −69% $33,985 −79% —
728 Inflammation Of The Male Reproductive System Without Mcc $7,276 $13,799 −47% $17,118 −57% —
637 Diabetes With Mcc $7,276 $22,095 −67% $30,100 −76% —
302 Atherosclerosis With Mcc $7,273 $17,761 −59% $22,446 −68% —
642 Inborn And Other Disorders Of Metabolism $7,232 $19,302 −63% $20,727 −65% —
755 Malignancy, Female Reproductive System With Cc $7,154 $16,999 −58% $18,459 −61% —
039 Extracranial Procedures Without Cc/Mcc $7,109 $17,967 −60% $26,618 −73% —
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $7,085 $17,867 −60% $33,047 −79% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $7,071 $10,747 −34% $16,767 −58% —
149 Dysequilibrium $7,065 $12,896 −45% $18,096 −61% —
189 Pulmonary Edema And Respiratory Failure $6,995 $18,497 −62% $26,580 −74% ≈201% of Medicare
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $6,986 $15,734 −56% $21,449 −67% —
153 Otitis Media And Uri Without Mcc $6,983 $12,431 −44% $14,583 −52% —
184 Major Chest Trauma With Cc $6,935 $15,014 −54% $22,432 −69% —
446 Disorders Of The Biliary Tract Without Cc/Mcc $6,906 $13,542 −49% $17,700 −61% —
387 Inflammatory Bowel Disease Without Cc/Mcc $6,806 $8,566 −21% $16,288 −58% —
473 Cervical Spinal Fusion Without Cc/Mcc $6,800 $33,920 −80% $50,624 −87% —
370 Major Esophageal Disorders Without Cc/Mcc $6,799 $12,253 −45% $15,495 −56% —
919 Complications Of Treatment With Mcc $6,798 $17,347 −61% $31,105 −78% —
300 Peripheral Vascular Disorders With Cc $6,705 $12,227 −45% $20,422 −67% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $6,704 $9,063 −26% $11,421 −41% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $6,699 $17,079 −61% $23,749 −72% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $6,681 $12,903 −48% $14,716 −55% —
915 Allergic Reactions With Mcc $6,674 $25,750 −74% $32,645 −80% —
121 Acute Major Eye Infections With Cc/Mcc $6,670 $18,291 −64% $19,412 −66% —
687 Kidney And Urinary Tract Neoplasms With Cc $6,558 $9,635 −32% $20,232 −68% —
693 Urinary Stones With Mcc $6,550 $22,278 −71% $23,892 −73% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $6,496 $25,727 −75% $32,443 −80% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $6,436 $16,553 −61% $22,850 −72% —
723 Malignancy, Male Reproductive System With Cc $6,420 $17,768 −64% $19,815 −68% —
645 Endocrine Disorders Without Cc/Mcc $6,387 $13,300 −52% $15,428 −59% —
196 Interstitial Lung Disease With Mcc $6,386 $27,093 −76% $32,637 −80% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $6,368 $11,423 −44% $33,653 −81% —
920 Complications Of Treatment With Cc $6,364 $16,379 −61% $22,468 −72% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $6,364 $13,643 −53% $17,601 −64% —
159 Dental And Oral Diseases Without Cc/Mcc $6,327 $11,755 −46% $13,633 −54% —
815 Reticuloendothelial And Immunity Disorders With Cc $6,322 $12,824 −51% $19,264 −67% —
759 Infections, Female Reproductive System Without Cc/Mcc $6,320 $11,501 −45% $14,250 −56% —
395 Other Digestive System Diagnoses Without Cc/Mcc $6,284 $11,454 −45% $14,128 −56% —
863 Postoperative And Post-Traumatic Infections Without Mcc $6,265 $16,171 −61% $20,957 −70% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $6,242 $12,314 −49% $15,600 −60% —
935 Non-Extensive Burns $6,176 $26,396 −77% $31,701 −81% —
378 Gastrointestinal Hemorrhage With Cc $6,160 $15,990 −61% $22,098 −72% ≈266% of Medicare
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $6,153 $12,418 −50% $16,846 −63% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $6,136 $12,127 −49% $20,781 −70% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $6,090 $15,715 −61% $22,888 −73% ≈193% of Medicare
335 Peritoneal Adhesiolysis With Mcc $6,029 $49,106 −88% $71,755 −92% —
030 Spinal Procedures Without Cc/Mcc $6,024 $32,077 −81% $45,866 −87% —
315 Other Circulatory System Diagnoses With Cc $5,987 $15,684 −62% $21,363 −72% —
100 Seizures With Mcc $5,986 $28,961 −79% $35,481 −83% ≈189% of Medicare
204 Respiratory Signs And Symptoms $5,830 $9,672 −40% $18,004 −68% —
916 Allergic Reactions Without Mcc $5,816 $11,813 −51% $13,942 −58% —
812 Red Blood Cell Disorders Without Mcc $5,786 $15,172 −62% $20,488 −72% ≈214% of Medicare
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $5,771 $10,110 −43% $20,506 −72% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $5,758 $16,587 −65% $18,956 −70% —
539 Osteomyelitis With Mcc $5,758 $28,990 −80% $37,609 −85% —
694 Urinary Stones Without Mcc $5,758 $13,336 −57% $17,345 −67% —
638 Diabetes With Cc $5,730 $15,098 −62% $19,661 −71% ≈180% of Medicare
205 Other Respiratory System Diagnoses With Mcc $5,660 $22,469 −75% $33,255 −83% —
918 Poisoning And Toxic Effects Of Drugs Without Mcc $5,608 $14,675 −62% $15,452 −64% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $5,586 $14,795 −62% $19,842 −72% —
292 Heart Failure And Shock With Cc $5,577 $13,422 −58% $16,371 −66% —
068 Precerebral Occlusion Without Infarction Without Mcc $5,528 $14,635 −62% $19,569 −72% —
788 Cesarean Section Without Sterilization Without Cc/Mcc $5,453 $13,306 −59% $20,084 −73% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $5,435 $34,970 −84% $51,985 −90% —
439 Disorders Of Pancreas Except Malignancy With Cc $5,396 $11,282 −52% $19,096 −72% —
191 Chronic Obstructive Pulmonary Disease With Cc $5,377 $14,344 −63% $18,807 −71% —
190 Chronic Obstructive Pulmonary Disease With Mcc $5,370 $17,654 −70% $24,386 −78% ≈184% of Medicare
103 Headaches Without Mcc $5,346 $14,229 −62% $21,280 −75% —
194 Simple Pneumonia And Pleurisy With Cc $5,241 $13,837 −62% $18,204 −71% ≈351% of Medicare
682 Renal Failure With Mcc $5,221 $19,763 −74% $29,064 −82% ≈206% of Medicare
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $5,155 $20,430 −75% $25,463 −80% ≈192% of Medicare
176 Pulmonary Embolism Without Mcc $5,111 $12,624 −60% $18,081 −72% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $5,100 $14,025 −64% $31,159 −84% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $5,096 $13,791 −63% $18,126 −72% —
374 Digestive Malignancy With Mcc $5,085 $23,726 −79% $39,958 −87% ≈161% of Medicare
093 Other Disorders Of Nervous System Without Cc/Mcc $4,945 $13,438 −63% $17,620 −72% —
977 Hiv With Or Without Other Related Condition $4,905 $21,908 −78% $22,525 −78% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $4,899 $13,321 −63% $17,322 −72% ≈171% of Medicare
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $4,883 $11,888 −59% $12,895 −62% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $4,828 $27,823 −83% $42,126 −89% —
178 Respiratory Infections And Inflammations With Cc $4,803 $16,070 −70% $22,024 −78% ≈194% of Medicare
880 Acute Adjustment Reaction And Psychosocial Dysfunction $4,648 $8,743 −47% $17,733 −74% —
546 Connective Tissue Disorders With Cc $4,648 $18,220 −74% $25,700 −82% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $4,642 $12,789 −64% $17,303 −73% ≈264% of Medicare
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $4,584 $12,605 −64% $19,227 −76% —
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $4,569 $12,173 −62% $14,689 −69% —
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $4,522 $12,593 −64% $12,593 −64% —
784 Cesarean Section With Sterilization With Cc $4,408 $15,015 −71% $23,283 −81% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $4,359 $9,155 −52% $12,454 −65% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $4,352 $12,204 −64% $14,797 −71% —
921 Complications Of Treatment Without Cc/Mcc $4,303 $12,120 −64% $14,415 −70% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $4,279 $14,055 −70% $14,055 −70% —
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $4,256 $11,694 −64% $18,133 −77% —
203 Bronchitis And Asthma Without Cc/Mcc $4,126 $10,551 −61% $12,252 −66% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $4,124 $9,691 −57% $13,275 −69% —
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $4,070 $11,510 −65% $14,368 −72% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $3,964 $14,770 −73% $15,764 −75% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $3,936 $11,294 −65% $12,324 −68% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $3,875 $16,000 −76% $22,458 −83% —
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $3,871 $8,316 −53% $15,183 −75% —
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $3,814 $13,537 −72% $15,370 −75% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $3,738 $15,235 −75% $32,021 −88% —
554 Bone Diseases And Arthropathies Without Mcc $3,567 $14,026 −75% $18,528 −81% —
390 Gastrointestinal Obstruction Without Cc/Mcc $3,555 $10,296 −65% $13,361 −73% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $3,513 $10,456 −66% $13,384 −74% —
787 Cesarean Section Without Sterilization With Cc $3,303 $15,418 −79% $23,571 −86% —
177 Respiratory Infections And Inflammations With Mcc $3,277 $24,174 −86% $33,707 −90% ≈209% of Medicare
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $3,182 $9,058 −65% $12,078 −74% —
792 Prematurity Without Major Problems $3,108 $11,200 −72% $12,229 −75% —
253 Other Vascular Procedures With Cc $3,105 $36,329 −91% $57,454 −95% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $2,603 $5,116 −49% $9,940 −74% —
536 Fractures Of Hip And Pelvis Without Mcc $2,556 $13,719 −81% $18,002 −86% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $2,500 $16,429 −85% $22,506 −89% —
558 Tendonitis, Myositis And Bursitis Without Mcc $2,423 $14,405 −83% $18,602 −87% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $2,365 $3,983 −41% $15,215 −84% —
541 Osteomyelitis Without Cc/Mcc $2,250 $13,738 −84% $15,215 −85% —
793 Full Term Neonate With Major Problems $2,211 $9,054 −76% $18,649 −88% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $2,185 $19,865 −89% $28,050 −92% ≈200% of Medicare
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $2,150 $32,168 −93% $47,789 −96% —
596 Major Skin Disorders Without Mcc $2,143 $12,825 −83% $17,226 −88% —
881 Depressive Neuroses $2,120 $9,069 −77% $15,058 −86% —
071 Other Cerebrovascular Disorders With Cc $2,111 $16,872 −87% $23,488 −91% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $1,770 $16,963 −90% $23,551 −92% —
394 Other Digestive System Diagnoses With Cc $1,676 $13,612 −88% $20,181 −92% ≈183% of Medicare
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $1,667 $13,602 −88% $19,962 −92% —
316 Other Circulatory System Diagnoses Without Cc/Mcc $1,632 $12,055 −86% $13,651 −88% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $1,614 $18,752 −91% $30,784 −95% —
795 Normal Newborn $1,554 $3,472 −55% $4,720 −67% —
882 Neuroses Except Depressive $1,297 $9,719 −87% $15,680 −92% —
794 Neonate With Other Significant Problems $1,025 $4,964 −79% $8,445 −88% —

Procedures with negotiated rates only

These 283 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $168,143 – $423,441 · median $322,709 22 plans
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $67,991 – $171,224 · median $130,491 22 plans
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major $127,351 – $320,713 · median $244,419 22 plans
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. $83,108 – $209,295 · median $159,506 22 plans
005 Liver Transplant With Mcc Or Intestinal Transplant $61,863 – $156,507 · median $118,731 22 plans
006 Liver Transplant Without Mcc $27,822 – $74,779 · median $54,541 22 plans
007 Lung Transplant $77,701 – $195,678 · median $149,128 22 plans
008 Simultaneous Pancreas And Kidney Transplant $33,628 – $88,717 · median $65,311 22 plans
010 Pancreas Transplant $43,054 – $111,349 · median $82,799 22 plans
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $32,725 – $86,549 · median $63,636 22 plans
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $25,296 – $68,714 · median $49,855 22 plans
014 Allogeneic Bone Marrow Transplant $72,107 – $181,590 · median $138,392 22 plans
017 Autologous Bone Marrow Transplant Without Cc/Mcc $32,594 – $86,235 · median $63,393 22 plans
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $259,097 – $652,492 · median $497,272 22 plans
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $42,808 – $110,757 · median $82,341 22 plans
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $19,064 – $53,753 · median $38,294 22 plans
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $27,280 – $73,478 · median $53,536 22 plans
026 Craniotomy And Endovascular Intracranial Procedures With Cc $18,655 – $52,770 · median $37,535 22 plans
031 Ventricular Shunt Procedures With Mcc $26,883 – $72,524 · median $52,799 22 plans
032 Ventricular Shunt Procedures With Cc $12,786 – $38,679 · median $27,111 22 plans
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $10,366 – $32,869 · median $22,494 22 plans
052 Spinal Disorders And Injuries With Cc/Mcc $10,868 – $34,074 · median $23,451 22 plans
053 Spinal Disorders And Injuries Without Cc/Mcc $5,875 – $22,087 · median $14,192 22 plans
054 Nervous System Neoplasms With Mcc $9,161 – $29,977 · median $20,284 22 plans
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $8,423 – $28,203 · median $19,084 22 plans
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $6,062 – $22,535 · median $14,558 22 plans
067 Precerebral Occlusion Without Infarction With Mcc $8,812 – $29,138 · median $19,717 22 plans
072 Other Cerebrovascular Disorders Without Cc/Mcc $4,537 – $18,875 · median $10,988 22 plans
074 Cranial And Peripheral Nerve Disorders Without Mcc $6,185 – $22,830 · median $14,800 22 plans
075 Viral Meningitis With Cc/Mcc $11,505 – $35,603 · median $24,667 22 plans
076 Viral Meningitis Without Cc/Mcc $4,951 – $19,868 · median $11,990 22 plans
083 Traumatic Stupor And Coma >1 Hour With Cc $8,375 – $28,088 · median $19,006 22 plans
088 Concussion With Mcc $8,111 – $27,454 · median $18,577 22 plans
089 Concussion With Cc $6,592 – $23,807 · median $15,598 22 plans
090 Concussion Without Cc/Mcc $4,939 – $19,840 · median $11,961 22 plans
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $15,475 – $45,135 · median $31,896 22 plans
101 Seizures Without Mcc $5,416 – $20,983 · median $13,115 22 plans
114 Orbital Procedures Without Cc/Mcc $8,118 – $27,472 · median $18,589 22 plans
116 Intraocular Procedures With Cc/Mcc $10,849 – $34,027 · median $23,414 22 plans
117 Intraocular Procedures Without Cc/Mcc $6,509 – $23,610 · median $15,437 22 plans
135 Sinus And Mastoid Procedures With Cc/Mcc $13,020 – $39,241 · median $27,558 22 plans
136 Sinus And Mastoid Procedures Without Cc/Mcc $6,092 – $22,607 · median $14,617 22 plans
137 Mouth Procedures With Cc/Mcc $8,959 – $29,491 · median $19,956 22 plans
138 Mouth Procedures Without Cc/Mcc $5,317 – $20,747 · median $12,876 22 plans
139 Salivary Gland Procedures $7,414 – $25,782 · median $17,213 22 plans
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $22,480 – $61,952 · median $44,630 22 plans
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $4,783 – $19,464 · median $11,582 22 plans
151 Epistaxis Without Mcc $4,404 – $18,555 · median $10,665 22 plans
152 Otitis Media And Uri With Mcc $7,093 – $25,011 · median $16,583 22 plans
157 Dental And Oral Diseases With Mcc $10,301 – $32,712 · median $22,369 22 plans
163 Major Chest Procedures With Mcc $26,891 – $72,543 · median $52,813 22 plans
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $8,242 – $27,768 · median $18,790 22 plans
180 Respiratory Neoplasms With Mcc $10,596 – $33,421 · median $22,932 22 plans
182 Respiratory Neoplasms Without Cc/Mcc $4,523 – $18,840 · median $10,953 22 plans
185 Major Chest Trauma Without Cc/Mcc $4,719 – $19,311 · median $11,428 22 plans
188 Pleural Effusion Without Cc/Mcc $4,303 – $18,313 · median $10,424 22 plans
193 Simple Pneumonia And Pleurisy With Mcc $7,886 – $26,916 · median $18,155 22 plans
201 Pneumothorax Without Cc/Mcc $4,291 – $18,282 · median $10,400 22 plans
206 Other Respiratory System Diagnoses Without Mcc $5,647 – $21,538 · median $13,674 22 plans
209 Complex Aortic Arch Procedures $67,913 – $171,032 · median $130,342 22 plans
212 Concomitant Aortic And Mitral Valve Procedures $65,245 – $164,626 · median $125,221 22 plans
213 Endovascular Abdominal Aorta With Iliac Branch Procedures $34,241 – $90,191 · median $66,450 22 plans
215 Other Heart Assist System Implant $59,742 – $151,415 · median $114,660 22 plans
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $58,697 – $148,906 · median $112,654 22 plans
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $39,452 – $102,701 · median $76,116 22 plans
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $30,241 – $80,587 · median $59,029 22 plans
231 Coronary Bypass With Ptca With Mcc $50,579 – $129,417 · median $97,075 22 plans
232 Coronary Bypass With Ptca Without Mcc $36,376 – $95,315 · median $70,409 22 plans
235 Coronary Bypass Without Cardiac Catheterization With Mcc $35,212 – $92,520 · median $68,250 22 plans
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $8,306 – $27,924 · median $18,895 22 plans
258 Cardiac Pacemaker Device Replacement With Mcc $18,853 – $53,244 · median $37,901 22 plans
259 Cardiac Pacemaker Device Replacement Without Mcc $12,133 – $37,110 · median $25,864 22 plans
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $9,779 – $31,460 · median $21,374 22 plans
263 Vein Ligation And Stripping $18,344 – $52,024 · median $36,958 22 plans
265 Aicd Lead Procedures $21,709 – $60,103 · median $43,200 22 plans
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $28,565 – $76,562 · median $55,919 22 plans
271 Other Major Cardiovascular Procedures With Cc $21,338 – $59,211 · median $42,511 22 plans
280 Acute Myocardial Infarction, Discharged Alive With Mcc $9,625 – $31,089 · median $21,079 22 plans
281 Acute Myocardial Infarction, Discharged Alive With Cc $5,515 – $21,221 · median $13,355 22 plans
284 Acute Myocardial Infarction, Expired With Cc $4,153 – $17,953 · median $10,137 22 plans
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $3,593 – $16,609 · median $9,064 22 plans
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $13,277 – $39,857 · median $28,048 22 plans
290 Acute And Subacute Endocarditis Without Cc/Mcc $5,578 – $21,374 · median $13,509 22 plans
291 Heart Failure And Shock With Mcc $7,703 – $26,475 · median $17,795 22 plans
293 Heart Failure And Shock Without Cc/Mcc $3,396 – $16,135 · median $8,686 22 plans
297 Cardiac Arrest, Unexplained With Cc $3,804 – $17,114 · median $9,468 22 plans
298 Cardiac Arrest, Unexplained Without Cc/Mcc $2,731 – $14,537 · median $7,412 22 plans
299 Peripheral Vascular Disorders With Mcc $9,796 – $31,501 · median $21,406 22 plans
301 Peripheral Vascular Disorders Without Cc/Mcc $4,318 – $18,349 · median $10,457 22 plans
305 Hypertension Without Mcc $4,531 – $18,859 · median $10,972 22 plans
307 Cardiac Congenital And Valvular Disorders Without Mcc $5,479 – $21,136 · median $13,269 22 plans
311 Angina Pectoris $4,211 – $18,092 · median $10,248 22 plans
312 Syncope And Collapse $5,230 – $20,537 · median $12,664 22 plans
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $40,119 – $104,302 · median $77,354 22 plans
318 Percutaneous Coronary Atherectomy Without Intraluminal Device $14,533 – $42,874 · median $30,297 22 plans
319 Other Endovascular Cardiac Valve Procedures With Mcc $26,777 – $72,271 · median $52,603 22 plans
320 Other Endovascular Cardiac Valve Procedures Without Mcc $14,432 – $42,630 · median $30,125 22 plans
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal $16,325 – $47,175 · median $33,337 22 plans
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $10,578 – $33,378 · median $22,898 22 plans
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $25,964 – $70,319 · median $51,095 22 plans
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $18,906 – $53,372 · median $38,000 22 plans
329 Major Small And Large Bowel Procedures With Mcc $27,579 – $74,195 · median $54,090 22 plans
332 Rectal Resection With Mcc $21,724 – $60,139 · median $43,228 22 plans
334 Rectal Resection Without Cc/Mcc $9,827 – $31,576 · median $21,466 22 plans
344 Minor Small And Large Bowel Procedures With Mcc $15,497 – $45,187 · median $31,932 22 plans
350 Inguinal And Femoral Hernia Procedures With Mcc $14,951 – $43,878 · median $31,007 22 plans
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $7,007 – $24,804 · median $16,413 22 plans
353 Hernia Procedures Except Inguinal And Femoral With Mcc $17,412 – $49,785 · median $35,228 22 plans
356 Other Digestive System O.R. Procedures With Mcc $26,357 – $71,261 · median $51,822 22 plans
359 Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc $20,632 – $57,515 · median $41,201 22 plans
360 Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc $14,486 – $42,760 · median $30,217 22 plans
368 Major Esophageal Disorders With Mcc $9,551 – $30,913 · median $20,939 22 plans
377 Gastrointestinal Hemorrhage With Mcc $10,968 – $34,314 · median $23,642 22 plans
389 Gastrointestinal Obstruction With Cc $4,739 – $19,359 · median $11,476 22 plans
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $24,123 – $65,898 · median $47,678 22 plans
406 Pancreas, Liver And Shunt Procedures With Cc $17,401 – $49,760 · median $35,208 22 plans
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $9,526 – $30,853 · median $20,891 22 plans
412 Cholecystectomy With C.D.E. With Cc $12,615 – $38,268 · median $26,785 22 plans
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $8,180 – $27,620 · median $18,690 22 plans
421 Hepatobiliary Diagnostic Procedures With Cc $10,425 – $33,010 · median $22,606 22 plans
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $8,397 – $28,141 · median $19,042 22 plans
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $9,002 – $29,594 · median $20,025 22 plans
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made $66,127 – $166,745 · median $126,915 22 plans
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $43,312 – $111,967 · median $83,276 22 plans
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc $33,732 – $88,968 · median $65,505 22 plans
429 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc $54,058 – $137,767 · median $103,750 22 plans
430 Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc $34,603 – $91,058 · median $67,120 22 plans
432 Cirrhosis And Alcoholic Hepatitis With Mcc $11,809 – $36,334 · median $25,247 22 plans
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $4,275 – $18,245 · median $10,370 22 plans
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $5,120 – $20,273 · median $12,398 22 plans
438 Disorders Of Pancreas Except Malignancy With Mcc $9,781 – $31,465 · median $21,377 22 plans
444 Disorders Of The Biliary Tract With Mcc $10,025 – $32,051 · median $21,843 22 plans
447 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody $40,090 – $104,232 · median $77,299 22 plans
448 Multiple Level Spinal Fusion Except Cervical Without Mcc $25,445 – $69,071 · median $50,131 22 plans
450 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F $31,978 – $84,756 · median $62,250 22 plans
451 Single Level Spinal Fusion Except Cervical Without Mcc $19,382 – $54,516 · median $38,884 22 plans
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $25,036 – $68,089 · median $49,371 22 plans
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $33,138 – $87,542 · median $64,403 22 plans
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $15,960 – $46,299 · median $32,718 22 plans
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $18,688 – $52,849 · median $37,596 22 plans
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $11,573 – $35,768 · median $24,797 22 plans
472 Cervical Spinal Fusion With Cc $17,677 – $50,421 · median $35,719 22 plans
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $7,081 – $24,982 · median $16,559 22 plans
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $9,397 – $30,543 · median $20,667 22 plans
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $15,217 – $44,515 · median $31,457 22 plans
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $12,039 – $36,885 · median $25,686 22 plans
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $21,754 – $60,211 · median $43,284 22 plans
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $10,823 – $33,967 · median $23,366 22 plans
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $12,089 – $37,005 · median $25,781 22 plans
500 Soft Tissue Procedures With Mcc $18,989 – $53,571 · median $38,154 22 plans
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $10,838 – $34,003 · median $23,395 22 plans
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $9,086 – $29,797 · median $20,162 22 plans
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $18,123 – $51,492 · median $36,547 22 plans
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $9,446 – $30,660 · median $20,746 22 plans
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $6,134 – $22,708 · median $14,700 22 plans
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $19,121 – $53,890 · median $38,400 22 plans
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $12,469 – $37,917 · median $26,505 22 plans
519 Back And Neck Procedures Except Spinal Fusion With Cc $12,001 – $36,795 · median $25,614 22 plans
533 Fractures Of Femur With Mcc $9,406 – $30,564 · median $20,682 22 plans
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $5,726 – $21,728 · median $13,866 22 plans
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $4,322 – $18,357 · median $10,466 22 plans
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $4,528 – $18,851 · median $10,964 22 plans
545 Connective Tissue Disorders With Mcc $14,890 – $43,731 · median $30,903 22 plans
548 Septic Arthritis With Mcc $11,585 – $35,796 · median $24,820 22 plans
549 Septic Arthritis With Cc $7,243 – $25,371 · median $16,877 22 plans
550 Septic Arthritis Without Cc/Mcc $5,245 – $20,573 · median $12,701 22 plans
553 Bone Diseases And Arthropathies With Mcc $7,778 – $26,655 · median $17,942 22 plans
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $7,931 – $27,022 · median $18,242 22 plans
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $8,549 – $28,506 · median $19,289 22 plans
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $39,308 – $102,356 · median $75,850 22 plans
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $10,782 – $33,868 · median $23,287 22 plans
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $29,407 – $78,585 · median $57,481 22 plans
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $15,904 – $46,165 · median $32,624 22 plans
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $9,638 – $31,122 · median $21,105 22 plans
582 Mastectomy For Malignancy With Cc/Mcc $11,560 – $35,735 · median $24,771 22 plans
583 Mastectomy For Malignancy Without Cc/Mcc $10,346 – $32,822 · median $22,456 22 plans
594 Skin Ulcers Without Cc/Mcc $5,201 – $20,468 · median $12,595 22 plans
598 Malignant Breast Disorders With Cc $6,788 – $24,278 · median $15,983 22 plans
599 Malignant Breast Disorders Without Cc/Mcc $4,616 – $19,065 · median $11,179 22 plans
600 Non-Malignant Breast Disorders With Cc/Mcc $6,250 – $22,986 · median $14,927 22 plans
601 Non-Malignant Breast Disorders Without Cc/Mcc $3,630 – $16,696 · median $9,134 22 plans
603 Cellulitis Without Mcc $5,225 – $20,527 · median $12,654 22 plans
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $20,924 – $58,218 · median $41,745 22 plans
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $8,510 – $28,412 · median $19,226 22 plans
619 O.R. Procedures For Obesity With Mcc $17,324 – $49,575 · median $35,066 22 plans
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $18,121 – $51,487 · median $36,543 22 plans
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $8,757 – $29,006 · median $19,627 22 plans
639 Diabetes Without Cc/Mcc $3,727 – $16,930 · median $9,321 22 plans
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $4,669 – $19,191 · median $11,307 22 plans
643 Endocrine Disorders With Mcc $9,877 – $31,694 · median $21,560 22 plans
644 Endocrine Disorders With Cc $6,150 – $22,747 · median $14,732 22 plans
650 Kidney Transplant With Hemodialysis With Mcc $28,208 – $75,706 · median $55,258 22 plans
651 Kidney Transplant With Hemodialysis Without Mcc $22,235 – $61,364 · median $44,176 22 plans
652 Kidney Transplant $19,377 – $54,503 · median $38,874 22 plans
655 Major Bladder Procedures Without Cc/Mcc $12,700 – $38,472 · median $26,946 22 plans
663 Minor Bladder Procedures With Cc $9,121 – $29,880 · median $20,219 22 plans
664 Minor Bladder Procedures Without Cc/Mcc $6,281 – $23,062 · median $14,990 22 plans
665 Prostatectomy With Mcc $18,727 – $52,943 · median $37,668 22 plans
666 Prostatectomy With Cc $10,496 – $33,180 · median $22,741 22 plans
667 Prostatectomy Without Cc/Mcc $6,637 – $23,916 · median $15,688 22 plans
669 Transurethral Procedures With Cc $9,312 – $30,338 · median $20,529 22 plans
671 Urethral Procedures With Cc/Mcc $10,770 – $33,839 · median $23,264 22 plans
672 Urethral Procedures Without Cc/Mcc $6,477 – $23,532 · median $15,373 22 plans
673 Other Kidney And Urinary Tract Procedures With Mcc $25,210 – $68,507 · median $49,694 22 plans
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $9,848 – $31,626 · median $21,506 22 plans
683 Renal Failure With Cc $5,255 – $20,597 · median $12,725 22 plans
690 Kidney And Urinary Tract Infections Without Mcc $4,857 – $19,642 · median $11,762 22 plans
697 Urethral Stricture $6,467 – $23,507 · median $15,353 22 plans
698 Other Kidney And Urinary Tract Diagnoses With Mcc $9,926 – $31,813 · median $21,655 22 plans
699 Other Kidney And Urinary Tract Diagnoses With Cc $6,090 – $22,603 · median $14,614 22 plans
710 Penis Procedures Without Cc/Mcc $8,407 – $28,166 · median $19,059 22 plans
711 Testes Procedures With Cc/Mcc $12,503 – $37,999 · median $26,571 22 plans
712 Testes Procedures Without Cc/Mcc $6,598 – $23,823 · median $15,611 22 plans
713 Transurethral Prostatectomy With Cc/Mcc $9,020 – $29,638 · median $20,055 22 plans
714 Transurethral Prostatectomy Without Cc/Mcc $6,344 – $23,213 · median $15,113 22 plans
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $13,424 – $40,210 · median $28,328 22 plans
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $8,826 – $29,171 · median $19,739 22 plans
722 Malignancy, Male Reproductive System With Mcc $10,858 – $34,051 · median $23,433 22 plans
724 Malignancy, Male Reproductive System Without Cc/Mcc $3,934 – $17,427 · median $9,717 22 plans
725 Benign Prostatic Hypertrophy With Mcc $7,021 – $24,838 · median $16,442 22 plans
727 Inflammation Of The Male Reproductive System With Mcc $8,897 – $29,343 · median $19,855 22 plans
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $4,032 – $17,662 · median $9,904 22 plans
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $12,780 – $38,665 · median $27,100 22 plans
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $8,073 – $27,364 · median $18,516 22 plans
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $21,447 – $59,473 · median $42,714 22 plans
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $12,364 – $37,665 · median $26,305 22 plans
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $8,811 – $29,135 · median $19,715 22 plans
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $21,497 – $59,593 · median $42,806 22 plans
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $11,009 – $34,412 · median $23,720 22 plans
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $6,825 – $24,367 · median $16,056 22 plans
748 Female Reproductive System Reconstructive Procedures $8,324 – $27,966 · median $18,923 22 plans
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $15,406 – $44,968 · median $31,778 22 plans
756 Malignancy, Female Reproductive System Without Cc/Mcc $5,763 – $21,818 · median $13,956 22 plans
757 Infections, Female Reproductive System With Mcc $8,591 – $28,608 · median $19,358 22 plans
758 Infections, Female Reproductive System With Cc $5,874 – $22,084 · median $14,190 22 plans
779 Abortion Without D&C $5,048 – $20,100 · median $12,224 22 plans
786 Cesarean Section Without Sterilization With Mcc $9,897 – $31,743 · median $21,598 22 plans
801 Splenic Procedures Without Cc/Mcc $11,453 – $35,480 · median $24,568 22 plans
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $23,905 – $65,373 · median $47,273 22 plans
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $11,153 – $34,759 · median $23,996 22 plans
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $8,136 – $27,515 · median $18,618 22 plans
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $6,280 – $23,058 · median $14,986 22 plans
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $3,792 – $17,085 · median $9,445 22 plans
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $6,955 – $24,680 · median $16,312 22 plans
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $7,224 – $25,325 · median $16,840 22 plans
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $13,594 – $40,618 · median $28,652 22 plans
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $8,096 – $27,420 · median $18,554 22 plans
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $18,960 – $53,502 · median $38,100 22 plans
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $9,030 – $29,661 · median $20,071 22 plans
834 Acute Leukemia With Mcc $32,939 – $87,065 · median $64,034 22 plans
836 Acute Leukemia Without Cc/Mcc $7,317 – $25,549 · median $17,022 22 plans
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $28,826 – $77,189 · median $56,403 22 plans
840 Lymphoma And Non-Acute Leukemia With Mcc $19,409 – $54,581 · median $38,934 22 plans
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $6,062 – $22,536 · median $14,560 22 plans
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $11,969 – $36,717 · median $25,552 22 plans
849 Radiotherapy $16,257 – $47,012 · median $33,222 22 plans
850 Acute Leukemia With Other Procedures $51,957 – $132,724 · median $99,718 22 plans
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $29,632 – $79,123 · median $57,898 22 plans
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $8,983 – $29,549 · median $19,995 22 plans
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $27,292 – $73,507 · median $53,558 22 plans
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $8,357 – $28,046 · median $18,978 22 plans
870 Septicemia Or Severe Sepsis With Mv >96 Hours $41,471 – $107,548 · median $79,861 22 plans
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $11,655 – $35,964 · median $24,953 22 plans
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $23,189 – $63,656 · median $45,946 22 plans
883 Disorders Of Personality And Impulse Control $11,798 – $36,306 · median $25,225 22 plans
885 Psychoses $8,381 – $28,103 · median $19,016 22 plans
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $8,494 – $28,373 · median $19,199 22 plans
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $5,297 – $20,698 · median $12,827 22 plans
903 Wound Debridements For Injuries Without Cc/Mcc $7,018 – $24,830 · median $16,435 22 plans
907 Other O.R. Procedures For Injuries With Mcc $23,036 – $63,288 · median $45,662 22 plans
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $128,103 – $322,606 · median $245,862 22 plans
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $19,325 – $54,378 · median $38,777 22 plans
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $21,771 – $60,251 · median $43,315 22 plans
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $14,021 – $41,645 · median $29,429 22 plans
948 Signs And Symptoms Without Mcc $4,803 – $19,513 · median $11,631 22 plans
949 Aftercare With Cc/Mcc $7,138 – $25,119 · median $16,671 22 plans
951 Other Factors Influencing Health Status $3,336 – $15,991 · median $8,571 22 plans
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $45,719 – $117,748 · median $87,747 22 plans
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $17,665 – $50,392 · median $35,697 22 plans
970 Hiv With Extensive O.R. Procedures Without Mcc $15,824 – $45,974 · median $32,488 22 plans
974 Hiv With Major Related Condition With Mcc $17,316 – $49,555 · median $35,050 22 plans
976 Hiv With Major Related Condition Without Cc/Mcc $5,416 – $20,985 · median $13,116 22 plans
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $7,195 – $25,256 · median $16,783 22 plans
← Back to Metrohealth System profile